MS. ALICIA MARY FAGAN LCSW
NPI 1629157615
Counselor - Addiction (Substance Use Disorder) in Southington, CT

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
51 NORTH MAIN STREET, STE 2C, SOUTHINGTON, CT 06489(860) 621-2280(860) 628-0219 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Alicia Mary Fagan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ALICIA MARY FAGAN LCSW (NPI 1629157615) is an individual addiction (substance use disorder) provider in Southington, Connecticut, licensed in Connecticut (000422) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1629157615
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. ALICIA MARY FAGANCredential: LCSW
Location Address51 NORTH MAIN STREET, STE 2CSouthington, CT 06489
Mailing Address51 North Main Street, Ste 2cSouthington, CT 06489 · (860) 621-2280 · Fax (860) 628-0219
Fax(860) 628-0219
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 2, 2006
Last NPPES UpdateJanuary 6, 2012
NPI 1629157615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 000422
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 000618 (CT)
51 NORTH MAIN STREET, Southington, CT 06489

Other Identifiers 2

Medicare ID-Type Unspecified800000473CT
Medicaid004149531CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Alicia Mary Fagan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739339730
PECOS Enrollment IDI20121029000689
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Fagan's NPI number?

The NPI number for Alicia Fagan is 1629157615. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Alicia Fagan located?

Alicia Fagan practices at 51 North Main Street Ste 2C, Southington, CT 06489. The listed phone number is (860) 621-2280.

What is Alicia Fagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Alicia Fagan enrolled in Medicare?

Yes. Alicia Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alicia Fagan accept?

Health plans from Providence Health Plan list Alicia Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Fagan was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.